Junior High Camp Counselor Registration 2022

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Junior High Camp Counselor Registration 2022 - Medical Form

Camp Dates: June 26 - July 1 ||| Location: Camp Lodestar, Wilseyville, CA

Thank you for taking the time to complete your online Registration! Please make sure all of your info is correct before submitting and submit your Registration only once.

A more specific and thorough Medical Form with COVID-19 information will follow once we're underway with planning for camp.

Please refer to the Registration Checklist on the website. The deadline for submitting this form is Sunday, January 23.

General Information

First Name *

Last Name *

Date of Birth (MM/DD/YYYY) *

YYYY

Gender *

Preferred pronouns *

Address (Address, City, State, Zip) *

Phone # (counselor) *

Parent name *

Parent email *

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